NPI | 1679907463 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHELLE A. GREEN Owner 847-852-0499 |
Organization Subpart ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: IL 149011403) |
Enumeration Date | 2013-08-28 |
Last Update Date | 2013-08-28 |